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The Development and Validation of a Structured Survey Tool Examining Health Care Professionals’ Perspectives of Advance Care Planning (ACP) for People with Dementia in Long-term Care Settings

beck, esther, McIlfatrick, Sonja, Hasson, Felicity and Leavey, Gerard (2016) The Development and Validation of a Structured Survey Tool Examining Health Care Professionals’ Perspectives of Advance Care Planning (ACP) for People with Dementia in Long-term Care Settings. Palliative Medicine, 30 (6). NP279-NP280. [Journal article]

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URL: http://pmj.sagepub.com/content/30/6.toc

DOI: 10.1177/0269216316646056

Abstract

Background: Evidence suggests that ACP has the potentialto improve care for people with dementia in long-termcare settings. However to date, despite recommendationfrom international policy, implementation has been varied.Health care professionals are central to implementingACP, yet empirical studies indicate they have concerns.There is a lack of validated measures examining the perspectivesof health care professionals.Aim: To develop a survey tool to examine to HCP’s perspectivesof ACP for people with dementia in long-termcare settings.To establish initial reliability & validity of the instrument.Methodology: The tool was developed through adapting apreviously validated tool used to measure oncology nursesperception of ACP, underpinned by the Theory of PlannedBehaviour. The adaptation process was informed by incorporatingthe results from an in-depth analysis of literature& consultation with key experts in ACP & dementia.Research variables were grouped into 3 domains: Attitudes,Understanding and knowledge & Current Practice.Open ended questions were included to capture barriers &facilitators to ACP. This tool was administered to a totalpopulation of nursing home managers within a region inthe UK (n=178).Results: A response rate of 66% was achieved (n=116).Principal Component Analysis was carried out in order tomeasure construct validity. This revealed the presence of 6principal components, with each variable loading relativelystrongly onto 1 component. The Cronbach’s Alphafor the tool was 0.86 indicating good reliability.Conclusions: The results indicate preliminary constructvalidity of attitudinal and practice sections of the tool. Thereis potential to enhance understanding by exploring the relationshipbetween the different factors that lead to intentionto engage in ACP. This will contribute to the future developmentof appropriate educational support, resulting inimproved care for people with dementia in this setting.

Item Type:Journal article
Keywords:advance care planning; health care professional; long term care settings
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Psychology Research Institute
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Institute of Nursing and Health Research > Person-centred Practice Research Centre
Psychology Research Institute > Population Health Sciences and Mental Health Services
ID Code:34951
Deposited By: Professor Sonja McIlfatrick
Deposited On:04 Jul 2016 13:49
Last Modified:04 Aug 2017 14:27

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